Regalo Health

Regalo Health Moves High‑Volume Healthcare Fax to the Cloud

How a pharmacy services and healthcare technology organization replaced on-prem fax infrastructure, embedded fax directly into internal systems via API, and scaled thousands of daily healthcare documents — without adding operational complexity.
Customer Story

At a Glance

ORGANIZATION
Regalo Health
HEADQUARTERS
Phoenix, Arizona
INDUSTRY
Pharmacy Services / Healthcare Technology
USE CASES
Prior Auth
Pharmacy Comms
Patient Records
Rx Coordination
DAILY INBOUND FAX VOLUME
3,000 - 4,000
INTEGRATION MODEL
API-First
HIPAA
Compliant workflows
On-Prem Cloud
Infrastructure shift
API-first
Cloud fax embedded in internal systems
Overview
Regalo Health processes 3,000–4,000 inbound faxes per day across prior authorizations, pharmacy communications, patient records, and prescription coordination.
The team needed fax embedded directly into their own systems via API, not managed through a separate portal. The decision came down to three things: depth of API access, high-volume reliability, and cost. They chose Documo's Cloud Fax API and moved from on-premises servers to a fully cloud-based, HIPAA-compliant environment.
99.9%
Uptime SLA
99.8%
Delivery Rate
SOC 2 Type II
Certified
HIPAA BAA
Signed With All Customers
Audit Trails
Full Fax Activity Log

Cloud-Based Fax Infrastructure

Replaced on-prem fax servers and reduced the hardware maintenance burden tied to high-volume fax operations.

API-Integrated Workflows

Enabled teams to send and receive faxes directly from internal systems instead of managing a separate portal.

Reliable High-Volume Performance

Supported thousands of inbound and outbound healthcare faxes each day without additional infrastructure.
Outcomes

What Regalo Health Gained with Documo

Standardized Fax Across the Organization

Brought a newly acquired company's fax workflows onto the same platform.

Flexible Workflow Support

Automated forwarding to fax numbers and email addresses, client fax copies, multi-page document splitting, and HIPAA-compliant workflows.

Better Pricing Fit

Delivered the API capability and volume support Regalo Health needed at a better price point than its previous solution.
The Challenge

What Was the Old Fax Environment Costing Regalo Health?

Operational drag, infrastructure overhead, and limited flexibility. Regalo Health was processing thousands of healthcare faxes every day through an on-premises environment that had outgrown the way the business operated.
The Legacy Environment
Before
  • On-premises fax servers requiring ongoing hardware maintenance
  • Fax managed in a separate portal outside internal systems
  • Growing operational complexity alongside fax volume
  • A newly acquired company on an outdated, incompatible fax system
The API-First Platform
After
  • Fully cloud-based — no fax server hardware to maintain
  • Fax embedded directly into internal systems via API
  • Thousands of daily faxes handled without extra infrastructure
  • One unified platform across the entire organization

Why Did Regalo Health Choose Documo's Cloud Fax API?

The decision came down to three things: depth of API integration, ability to handle 3,000-4,000 inbound faxes per day reliably, and cost.
API-First Architecture
Documo's Cloud Fax API lets developers send and receive faxes, automate forwarding to fax numbers or email, split multi-page documents, and push copies to external recipients — all from within their own systems, no separate portal. Few solutions the team evaluated matched this depth of API access.
Reliable High-Volume Performance
With 3,000-4,000 inbound faxes arriving every day — plus a similar volume outbound - reliability was non-negotiable. Documo's cloud fax platform provided the throughput and consistency their pharmacy operations required, at scale, without adding infrastructure.
Cost
Documo came in at a better price point than their previous solution, with a pricing structure that made sense for their volume.
Flexible Workflow Capabilities

Flexible Workflow Capabilities

Documo's platform also supported the specific operational workflows the team depended on:
  • Automatically forwarding incoming faxes to both fax numbers 
and email addresses.
  • Sending copies of faxes to external clients automatically.
  • Splitting multi-page fax documents.
  • Full HIPAA compliance across all workflows.

Eliminate Delays Caused by Legacy Fax and Document Workflows.

A Fast, Low-Disruption Rollout

The transition was smooth and fast. Regalo Health’s team integrated via Documo’s API and moved into production without a lengthy onboarding process or disruption to existing workflows.

From the start, the Documo team was hands-on – a dedicated implementation contact stayed close throughout, ensuring any questions were addressed quickly and the rollout stayed on track.

# Send a fax with one API call
import requests

response = requests.post(
    "https://api.documo.com/v1/fax",
    headers={"Authorization": "Bearer YOUR_API_KEY"},
    data={
        "to": "+15551234567",
        "from": "+15559876543",
        "subject": "Medical Records",
    },
    files={"file": open("medical_records.pdf", "rb")},
)

print(response.json())
# {"faxId": "fax_8f3a92bc", "status": "queued", "to": "+15551234567", "pages": 3}
Female doctor and nurse reviewing something on a laptop

What Changed After the Move?

Regalo Health moved off on-prem fax servers, reduced infrastructure maintenance, and standardized fax workflows across the organization. The platform now supports 3,000-4,000 inbound faxes per day — and a similar volume outbound — across prior authorizations, pharmacy communications, patient records, and prescription coordination, all flowing through a single API integration with no separate portal.
1
Cloud-Based Infrastructure
Moved off on-premises fax servers into a fully cloud-based environment, removing the hardware maintenance burden that had grown alongside fax volume.
2
Integrated Workflows
Staff send and receive faxes directly from their systems via API, keeping fax communication inside the tools they already use.
3
Reliable High-Volume Performance
The platform handles thousands of daily inbound and outbound faxes without requiring additional infrastructure.
4
Standardized Fax Across the Organization
Documo made it straightforward to bring the newly acquired company's fax workflows onto the same platform, replacing their outdated system.
Regalo Health

For us, the API was the whole story. We needed fax to live inside our own systems - not a separate portal our team had to manage. Documo's API gave us the programmatic control to build fax directly into our workflows, handle thousands of documents a day without touching them manually, and scale without adding infrastructure. Most fax solutions don't offer that depth of API access. That was the deciding factor.

Jason RiddleRegalo Health

Questions About This Case Study

Regalo Health is a pharmacy services and healthcare technology organization headquartered in Phoenix, Arizona. It works with healthcare providers, pharmacies, and patients to coordinate medication access and improve treatment outcomes.

Regalo Health processes between 3,000 and 4,000 inbound faxes per day, with a similar volume outbound. These include prior authorizations, pharmacy communications, patient records, and prescription coordination.

Its on-premises fax environment had outgrown the business. Maintaining servers and stitching fax into internal workflows created operational drag and infrastructure overhead. The team needed fax to live inside its own systems, connect through an API, and support high-volume healthcare workflows — while also preparing for a new CRM and absorbing a newly acquired company’s fax workflows.

The decision came down to three things: API capability, high-volume reliability, and cost. Documo’s API-first architecture let the team embed fax directly into internal systems. The cloud infrastructure handled thousands of daily faxes reliably. And Documo came in at a better price point than the previous solution.

Yes. Documo’s cloud fax platform supports thousands of inbound and outbound healthcare faxes each day without requiring additional infrastructure. Regalo Health runs 3,000 to 4,000 inbound faxes daily on the platform.

Yes. Documo supports full HIPAA-compliant fax workflows, which was a core requirement for Regalo Health’s healthcare communications including prior authorizations, patient records, and prescription coordination.

The transition was smooth and fast. Regalo Health integrated via Documo’s API and moved into production without a lengthy onboarding process or disruption to existing workflows. A dedicated Documo implementation contact supported them throughout.

Build Fax Into Your Own Systems

See how Documo's API-first cloud fax platform can replace on-prem 
infrastructure and scale your high-volume healthcare workflows.